重症急性胰腺炎并发结肠瘘的探讨  

Colonic fistula as a complication of severe acute pancreatitis

作　　者：黄侠[1] 施俭[1] 高卫陈 施兆发[1] 

机构地区：[1]上海市崇明县中心医院普外科,202150

出　　处：《中华普通外科杂志》2000年第12期719-721,共3页Chinese Journal of General Surgery

摘　　要：目的　了解重症急性胰腺炎并发结肠瘘的易发因素 ,提出诊治措施 ,提高重症急性胰腺炎的治愈率。方法　回顾性分析我院在 1991年 1月～ 1998年 12月收治的重症急性胰腺炎所致结肠瘘 8例 ,了解其发生的部位、时间 ,分析治疗方法对预后的影响。结果　本组治愈 7例 ,有 1例因患者拒绝行结肠造瘘术而致严重全身感染、成人呼吸窘迫综合症死亡。结论　重症急性胰腺炎易发生结肠瘘与其解剖因素和治疗方法有关。及时发现结肠瘘的存在 ,积极施行结肠造瘘和脓腔引流可以取得满意的治疗效果。Objective [WT5”BZ] Patients with severe acute pancreatitis (SAP) complicated with colon fistula were retrospectively analyzed, and the precipitating factors of this complication were studied in order to improve the outcome of SAP.[WT5”HZ] Methods [WT5”BZ] From Jan. 1991 to Dec. 1998, eight cases of SAP complicated with colon fistula were admitted into our hospital. The location of colon fistula and the time of occurrence were investigated. The effect of therapeutic intervention on their prognosis were studied.[WT5”HZ] Results [WT5”BZ] Seven cases were cured, while the remaining one who refused to have a colostomy died due to severe infection and ARDS. [WT5”HZ]Conclusion [WT5”BZ] The complication of colon fistula in SAP patients was related to anatomical facts and the therapeutic measures. Satisfactory results could be achieved by the early detection of the colon fistula and aggressive treatments including colostomy and drainage of the abscess. [WT5”HZ]

关 键 词：胰腺炎 消化系统瘘 并发症 治疗 

分 类 号：R657.5[医药卫生—外科学]